| Successful In Situ Repair for Mycotic Aneurysm of the Iliac Artery with Autologous Superficial Femoral Vein |
(Department of Cardiovascular Surgery, Himeji Brain and Heart Center, Himeji, Japan)
| Masato Yoshida |
Tsutomu Shida |
Nobuhiko Mukohara |
| Hidefumi Obo |
Nobuhiro Tanimura |
Keitaro Nakagiri |
| Ayako Maruo |
Hironori Matsuhisa |
|
|
A successfully treated case of a 73-year-old man with mycotic aneurysm of the iliac artery combined with psoas abscess was reported. The operation consisted of deLbridement of the infected arterial wall with arterial reconstruction using autologous reversed superficial femoral vein and wrapping the graft and filling the defects with omentum. Streptococcus pneumoniae was grown from the psoas abscess culture. He had peritonitis by gangrenous cholecystitis postoperatively and underwent reexploration for correction of the peritonitis. After his second operation, the postoperative course was uneventful. He is doing well 18 months postoperatively. Venous morbidity after superficial femoral vein harvest is minimal. In situ reconstruction with autogenous deep leg veins is a successful option in patients with mycotic aneurysms.
@Jpn. J. Cardiovasc. Surg. 32F112 -115i2003) |
|
